Urgent Spinal Surgery in a Lateral Decubitus on a Patient with a Left Ventricular Assist Device on Full Anticoagulation: A Case Report.
| Autor: | Do AS; Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, USA., Khan MA; Department of Neurologic and Orthopedic Surgery, University of Arizona, Phoenix, USA., Ross L; Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, USA., Ravinsky R; Department of Orthopaedics and Physical Medicine, Medical University of South Carolina, Charleston, USA., Milam AJ; Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, USA., Lee SJ; Department of Neurosurgery, Mayo Clinic, Jacksonville, USA., Durra O; Department of Anesthesiology, Cedars-Sinai Medical Center, Los Angeles, USA., Johnson JP; Department of Neurosurgery, Cedars-Sinai Medical Center, Los Angeles, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Cureus [Cureus] 2024 Feb 29; Vol. 16 (2), pp. e55266. Date of Electronic Publication: 2024 Feb 29 (Print Publication: 2024). |
| DOI: | 10.7759/cureus.55266 |
| Abstrakt: | This case report aims to demonstrate the feasibility of performing spinal surgery in patients with a left ventricular assist device (LVAD), who are traditionally considered unsuitable candidates due to the need for anticoagulation and the challenges associated with the prone position. A case of a patient with an LVAD undergoing microdiscectomy in the left lateral decubitus position is presented. The procedure was carried out by a specialized interdisciplinary team with appropriate monitoring. The patient underwent the procedure safely, demonstrating that spinal surgery can be performed in patients with LVAD without reversing anticoagulation or resorting to the prone position. This approach mitigates the risk of thrombotic events and hemodynamic instability. This case study suggests that spinal surgery, specifically microdiscectomy, can be safely performed in patients with LVAD using the left lateral decubitus position. This finding has significant implications for patients who are unable to ambulate and therefore struggle to qualify for a heart transplant. Competing Interests: The authors have declared that no competing interests exist. (Copyright © 2024, Do et al.) |
| Databáze: | MEDLINE |
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